Active NPI
Courtney Lombard, LCSW
- Clinical Social Worker
- Burbank, CA
National Provider Identifier
1790154557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 115109
- Practice address
- 2471 N Brighton St
Burbank, CA 91504-2612 - Phone
- (816) 830-1516
- NPI assigned
- Sep 22, 2015
- Last updated
- Jun 12, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149.022758 | IL | |
| Clinical Social Worker | 1041C0700X | 115109 | CA | Primary |
Addresses
Primary practice location
2471 N Brighton St
Burbank, CA 91504-2612
Mailing address
2471 N Brighton St
Burbank, CA 91504-2612
Phone (816) 830-1516
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 115109 | CA | MD | Clinical Social Worker |
| 149.022758 | IL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686528000000",
"number": "1790154557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2471 N BRIGHTON ST",
"city": "BURBANK",
"state": "CA",
"postal_code": "915042612",
"telephone_number": "816-830-1516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2471 N BRIGHTON ST",
"city": "BURBANK",
"state": "CA",
"postal_code": "915042612",
"telephone_number": "816-830-1516"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOMBARD",
"first_name": "COURTNEY",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-09-22",
"last_updated": "2023-06-12",
"certification_date": "2023-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.022758",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "115109",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burbank, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.